新型头皮夹承载装置在头皮止血中的应用

陈沛林 黄国豪 王伟金

【摘要】 目的：探究新型头皮夹承载装置在头皮止血中的应用。方法：选取2018年6月-2019年6月笔者所在医院神经外科诊治的开颅手术患者60例，随机分为两组，每组30例，甲组头皮夹应用传统方法放置，乙组应用新型头皮夹承载装置。对两组头皮愈合情况、术中各项时间及术中出血量进行比较。结果：乙组愈合情况及美观程度均优于甲组，差异均有统计学意义（P<0.05）;乙组安置头皮夹、术后回收清点头皮夹时间及手术时间均短于甲组，术中出血量少于甲组，差异均有统计学意义（P<0.05）。结论：新型头皮夹承载装置可明显减少开颅手术患者术中出血量，缩短手术时间，为护士提供充足头皮夹数量并方便术后清点，从而能促进切口愈合，改善外观。

【关键词】 新型头皮夹承载装置; 开颅手术; 头皮止血

doi：10.14033/j.cnki.cfmr.2019.27.027 文献标识码 B 文章编号 1674-6805（2019）27-00-03

Application of Novel Scalp Clip Bearing Device in Scalp Hemostasis/CHEN Peilin，HUANG Guohao，WANG Weijin.//Chinese and Foreign Medical Research，2019，17（27）：61-63

【Abstract】 Objective：To explore the application of a new scalp clip bearing device in scalp hemostasis.Method：From June 2018 to June 2019，60 patients undergoing craniotomy treated in our hospital were selected，and were randomly divided into two groups，with 30 cases in each group.The scalp clip in group A was placed by traditional method，and the new scalp bearing device was used in group B.The scalp healing，intraoperative time and intraoperative bleeding volume were compared between the two groups.Result：The healing and aesthetic degree of group B were better than those of group A，the differences were statistically significant（P<0.05）.The postoperative recovery and counting time and operation time of head wallet in group B were shorter than those in group A，and the amount of intraoperative bleeding in group B was less than that in group A，the differences were statistically significant（P<0.05）.Conclusion：The new scalp clamp loading device can reduce bleeding during operation of craniotomy surgery patients，shorten the operation time significantly.It can provide enough scalp clamps for nurses and facilitate post-operative counting，thus promoting wound healing and improving appearance.

【Key words】 New scalp clip bearing device; Craniotomy; Scalp hemostasis

First-authors address：Dongguan Huangjiang Hospital，Dongguan 523750，China

颅脑手术患者多存在切口愈合不良、瘢痕明显及瘢痕部位毛发生长较差等情况[1]。头皮部位的缝合在临床上分为分层缝合及可吸收线连续缝合，虽然能够改善头部创口缝合的繁琐，缩短手术时间，但是术中头皮出血以及伤口愈合等情况无法避免[2]。近期笔者研究发现头皮夹能帮助创口愈合，术中应用能够显著改善术中血流过量情况[3]。因此笔者经过试验改进，研制出一种新型头皮夹承载装置应用于头皮止血中，能够术中出血，且降低成本，节约手术时间。本文就新型头皮夹承载装置在头皮止血中的应用进行研究，现报道如下。

1 资料与方法

1.1 一般资料

收集2018年6月-2019年6月笔者所在医院神经外科收治的60例开颅手术患者。入选患者均经可靠的CT报告显示存在颅脑外伤，未合并其他部分严重外伤，急诊及择期行开颅手术，年龄超过18岁。排除标准：妊娠期或经期妇女;瘢痕体质，合并严重高血压、糖尿病及营养不良等内科疾病;合并严重精神系统疾患，严重感染，严重心肺疾病;病情不稳定或无法配合检查;存在出血情绪或者合并血液系统疾病。……